- Accurately and efficiently record the History of Present Illness (HPI) and Review of Systems (ROS) into the Electronic Health Record
- Update the Past Medical History (PMH), Social History, Medications, Allergies;
- Specialty-specific metrics, visit Summaries, discharge summaries, while the clinician interacts with the patient.
- Accurately and efficiently record the details of the Physical Exam, Medical Decision-Making, Assessment and Plan, and pend any computerized Orders as directed by the clinician.
- Includes ICD Codes, prescriptions, diagnostics, referrals and medical equipment.
- Review patient charts, including outside records for information pertinent to the visit and include such information in the note per established workflows.
- Monitor the progress of labs, imaging, or other patient evaluation data, and record the results into the appropriate notes so the clinician can access the necessary information and make sound treatment decisions.
- Document and pend orders necessary for procedures being performed by the clinician using appropriate billing codes and medical terminology as required by the billing department.
- Place "Scribe Attestation" statement on every chart completed with aid of a scribe.
- Update "Provider Preferences" and specialty-specific training material regularly and as indicated.
- Attend all scribe meetings and proactively communicate with scribe trainer and manager as appropriate since work is done entirely at locations separate from where direct support and supervision can be provided.
- Extensive computer skills including MS Office and Windows required.
- Excellent customer service skills, and ability to multi-task in a fast-paced environment.
- Must be detail oriented and have good organizational skills.
- Must be able to demonstrate excellent communication skills, including both written and verbal.
- Must have strong grammar skills.
- Must have a demonstrable record of reliable attendance, punctuality, and proven successful performance at past and present employers.
- Must be able to work both with a team and independently.
- Ability to problem solve.
- Ability to stay calm under high pressure conditions and timelines.
- Coursework demonstrating focus on pursuing a career in healthcare at a graduate/doctorate level.
- Prior experience in healthcare settings, particularly in the role of clinical scribe.
- Knowledge of medical terminology and higher-level science courses
- Including anatomy and physiology.
- Understanding of medical note content, medical billing and coding.
- Typing speed of 60 words per minute.
- Two raises per year - One at anniversary date and one across the board annual increase
- Healthcare Options - Covered 100% for full-time employees and 88% for dependents, and $25K of term life insurance provided at no cost to the employee
- Two separate above market pension plans to choose from
- Vacation- up to 200 hours per year depending on length of service
- Sick Leave- up to 96 hours per year
- 8 paid holidays per year
- Substantial Tri-met and C-Tran discounts
- Additional Programs including: Tuition Reimbursement and Employee Assistance Program (EAP)
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Medical Scribe - Portland, United States - OHSU
Description
Department Overview
Medical Scribes are unlicensed individuals who function in partnership with a medical provider to assist in the documentation of medical conversations, exams and treatment with patients.
This position requires someone with high-level written and verbal communication skills and the ability to remain calm, problem solve and stay organized under high pressure conditions and timelines.
EDUCATION
Bachelor's degree or equivalent within one year of start-date.
KNOWLEDGE, SKILLS & ABILITIES
Preferred Qualifications
EDUCATION
EXPERIENCE
ENVIRONMENT, PHYSICAL DEMANDS & EQUIPMENT USAGE
Medical Scribes can have a variable schedule pending assignment. Scribes must be able to travel to necessary OHSU campuses (Marquam Hill, South Waterfront, etc.) 1-5 days a week.
Scribes do not provide medical care, but must be comfortable remaining in the room while medical care and medical procedures are provided.
While working on-campus the position requires the ability to stand, ambulate, and use a computer for 8 hours a day, in 4-hour continuous increments.
Benefits:
Oregon Health & Science University values a diverse and culturally competent workforce.
We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status.
Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at or
